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NIATX Opiate Treatment Project October 24, 2010

NIATX Opiate Treatment Project October 24, 2010. Tami Bahr, LCSW, CSAC, ICS Assistant Director Connections Counseling. PDSA – Increase Group Attendance. Executive Sponsor identified this goal Change Team Brainstormed Ideas Came up with a variety of ideas to test

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NIATX Opiate Treatment Project October 24, 2010

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  1. NIATX Opiate Treatment Project October 24, 2010 Tami Bahr, LCSW, CSAC, ICS Assistant Director Connections Counseling

  2. PDSA – Increase Group Attendance • Executive Sponsor identified this goal • Change Team Brainstormed Ideas • Came up with a variety of ideas to test • Reminder calls, survey group, text messages, reminder cards, excused absence limit • Change Team conducted 5 different change projects over the year • Reminder cards • Group survey • Commit to next group & problem solve barriers • Text message reminders • Excused absence limit & process to re-engage

  3. Data Collection & Results • Utilized group rosters to identify who is supposed to attend group and who actually attended • Collected data throughout the year • Initial baseline was 66% (October 2009) • Lowest baseline was 53% (March – May 2010) • Baseline for Project: 5:30 group – 62% 6:30 group – 62% • Implemented Excused absence protocol and separated groups • Data to date: 5:30 group – 70% overall attendance rate 6:30 group - 79% overall attendance rate • Increased attendance this project by 8 - 17% • Increased overall (Lowest baseline) by – 26%

  4. Data Results 5:30 pm Group… Baseline 7/7/10 – 8/4/10; Change Project 8/11/10 – 9/29/10 Average Baseline: 62% Average Change Project: 70%

  5. Data Results 6:30 pm group Baseline 7/7/10 – 8/4/10; Change Project 8/11/10 – 9/29/10 Average Baseline : 62% Average Change Project: 79%

  6. Strategic Advantage • Staff participation in groups is a fixed number • 2 staff per group • Increase in group attendance = Increase in direct revenue • There is no additional cost to the clinic • Increased attendance also = Increased opportunities for clients to connect

  7. Sustainability Plan • Feedback from clients • Accountability in group is needed • Consistency from staff is appreciated • Feedback from staff • Consistent expectations for everyone in group helps them address group dynamic issues • Changed protocol to adopt this change project • Exploring ways to implement this in other groups

  8. Lessons Learned • Attention to group feedback is critical • Creation of consequences is not always negative • Overall, our opiate groups had higher baseline attendance than other groups • Clients may have wanted to attend group and remembered to attend but had other barriers to get there • Attendance rates have been consistent even though we have had an increase in numbers of clients assigned to groups • Keep data collection as simple as possible!

  9. Tami Bahr, LCSW, CSAC, ICS Connections Counseling 1334 Applegate Road, Suite 101 Madison, WI 53713 Phone: (608) 221-1500 ext 23 Fax: (608) 221-1515 Email: tami@bahrnet.ws www.connectionscounseling.com

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